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WestchesterHealth - aggregated feeds in category BlogenWestchester Health Blog: The Very Real Dangers of Vaping: What You Need To Knowhttps://www.westchesterhealth.com/blog/the-very-real-dangers-of-vaping-what-you-need-to-know/
<div><img width="300" height="200" src="https://www.westchesterhealth.com/blog/wha-media/uploads/2018/11/vaping2-300x200.jpg" class="attachment-medium size-medium wp-post-image" alt="" style="margin-bottom: 15px;" srcset="https://www.westchesterhealth.com/blog/wha-media/uploads/2018/11/vaping2-300x200.jpg 300w, https://www.westchesterhealth.com/blog/wha-media/uploads/2018/11/vaping2.jpg 724w" sizes="(max-width: 300px) 100vw, 300px" /></div><p>Did you know that the amount of nicotine in an e-cigarette nicotine pod is equal to the amount in a pack of 20 cigarettes? And that because the teen brain is still developing, teen users are more susceptible to the addictive nature of nicotine? Maybe that&#8217;s why the use of e-cigarettes among adolescents has <a href="https://www.healthline.com/health-news/what-will-happen-to-e-cigs-now" target="_blank" rel="noopener">skyrocketed in recent years,</a> according to the Food and Drug Administration (FDA), something that greatly alarms us at <a href="http://www.westchesterhealth.com/" target="_blank" rel="noopener">Westchester Health</a>. To give parents some guidelines for helping their teens make good decisions regarding vaping, we offer this very informative blog on the subject by <a href="http://pediatricswestchester.com/cindee-j-ivker-md-westchester-health-pediatrics/" target="_blank" rel="noopener">Cindee J. Ivker, MD, FAAP</a>, a pediatrician with our <a title="Westchester Health Pediatrics " href="http://www.pediatricswestchester.com/" target="_blank" rel="noopener">Westchester Health Pediatrics</a> group (excerpted below)<strong>. </strong><span id="more-2915"></span></p>
<h3>Vaping is becoming more and more popular with teens</h3>
<p>Originally developed to help smokers quit the use of traditional cigarettes, vape pods have infiltrated the teen market to a huge degree. One is the main reasons? The variety of flavors which the manufacturers add to the base of the device to lure young people (such as chocolate, strawberry, cherry, mint, fruit medley, Virginia tobacco and crème brûlée). Teens like the taste and then get hooked.</p>
<h3>Does your teen JUUL?</h3>
<div id="attachment_794" style="max-width: 128px" class="wp-caption alignright"><a href="https://www.westchesterhealth.com/blog/wha-media/uploads/2016/02/Cindee-Ivker.jpg"><img class="wp-image-794" src="https://www.westchesterhealth.com/blog/wha-media/uploads/2016/02/Cindee-Ivker.jpg" alt="" width="118" height="118" srcset="https://www.westchesterhealth.com/blog/wha-media/uploads/2016/02/Cindee-Ivker.jpg 200w, https://www.westchesterhealth.com/blog/wha-media/uploads/2016/02/Cindee-Ivker-150x150.jpg 150w" sizes="(max-width: 118px) 100vw, 118px" /></a><p class="wp-caption-text">Cindee J. Ivker, MD, FAAP</p></div>
<p>JUUL is the most common nicotine pod product. It is small and discreet and can easily be hidden from the untrained eye. Some JUUL products resemble a computer flash drive and can even be used in a classroom setting without being detected. In fact, according to a 2018 Truth Initiative survey, almost 1 in 5 of middle and high schoolers (20%) <a href="https://truthinitiative.org/news/nearly-1-5-youth-say-they-have-seen-juul-used-school" target="_blank" rel="noopener">have seen JUULs used in school</a>. They can easily be purchased online, in retail stores and through friends. By law, people under the age of 18 (or<a href="https://truthinitiative.org/news/where-we-stand-raising-tobacco-age-21" target="_blank" rel="noopener"> 21 in some areas</a>) <a href="https://truthinitiative.org/news/where-are-kids-getting-juul" target="_blank" rel="noopener">should not be able to purchase any tobacco products</a>, including JUUL, but there are few safeguards and so it happens all the time.</p>
<h3>Dangerous metals and other harmful substances are in e-cigarettes</h3>
<ol>
<li><strong> Nicotine.</strong> No matter what tobacco and e-cigarette manufacturers might report, nicotine is a very harmful, very dangerous drug. It affects the brain, nervous system and heart. The larger the dose of nicotine, the more a person’s blood pressure and heart rate go up, which can cause an abnormal heart rate (arrhythmia). In rare cases, especially when large doses of nicotine are involved, arrhythmias can cause heart failure and death.</li>
</ol>
<ol start="2">
<li><strong> Propylene glycol</strong>, the chemical that allows the nicotine to be vaped or inhaled, can cause lung and eye irritation. It is not clear what long-term effects propylene glycol has on the lungs.</li>
</ol>
<ol start="3">
<li><strong> Aluminum, </strong>when inhaled, can cause a chemical-induced pneumonia. In teens, aluminum has also been reported to damage developing bone.<strong> </strong></li>
</ol>
<ol start="4">
<li><strong> Cadmium</strong>, which is also in batteries, causes nausea, vomiting and diarrhea.<strong> </strong></li>
</ol>
<ol start="5">
<li><strong> Silver </strong>causes breathing problems, lung and throat irritation, and stomach pain.<strong> </strong></li>
</ol>
<ol start="6">
<li><strong> Lead </strong>when inhaled can result in nerve damage and digestive issues.<strong> </strong></li>
</ol>
<ol start="7">
<li><strong> Diacetyl</strong>, also found in butter-flavored microwave popcorn, when inhaled can cause scarring of the lungs. “Popcorn lung” is the scarring of the tiny air sacs in the lungs and will result in wheezing, coughing and/or shortness of breath.</li>
<li><strong> Benzoic acid </strong>is a naturally occurring acid found in the tobacco plant. When inhaled, it can cause irritation to the nose, throat and lungs, which like diacetyl, may cause coughing, wheezing and/or shortness of breath.</li>
</ol>
<h3>The good news: suspension of sales of most flavored vapes</h3>
<p>As of November 2018, JUUL Labs announced that <a href="https://www.nytimes.com/2018/11/13/health/juul-ecigarettes-vaping-teenagers.html" target="_blank" rel="noopener">it would suspend sales of most of its flavored e-cigarette pods in retail stores</a> and would discontinue its social media promotions, facing mounting government pressure and a public backlash over an epidemic of teenage vaping, reports <em>The New York Times.</em></p>
<h3>What you can do</h3>
<p>Once your child starts using a vape, it is hard to get them to stop. At <a href="http://www.westchesterhealth.com/" target="_blank" rel="noopener">Westchester Health</a>, we strongly urge you to talk to your teen about <strong>smoking abstinence</strong> in any form, whether it&#8217;s a cigarette, e-cigarette, vape, JUUL or hookah. Detecting and monitoring the use of a JUUL or nicotine pod can be difficult. Their design makes the device easy to hide and its lack of exhaled smoke makes it hard to tell that your teen is actively using it.</p>
<h3>Suggestions for talking to your teen</h3>
<ol>
<li>Be direct and tell him/her why vaping is really damaging to their health</li>
<li>Give them the facts about lung cancer, safety issues and the long-term effect on their brain, heart and lungs</li>
<li>Reinforce that the use of vapes are addictive like other drugs and alcohol</li>
<li>Stress the social issues and financial impact on users</li>
<li>Teach them to say “NO”</li>
<li>Come to us for help—at <a href="http://www.westchesterhealth.com/" target="_blank" rel="noopener">Westchester Health</a>, we are here for you</li>
</ol>
<h3>For more information on the dangers of vaping and e-cigarettes, you might find these articles helpful:</h3>
<ul>
<li><a href="https://www.cbsnews.com/news/vaping-health-effects-rising-use-among-teens/" target="_blank" rel="noopener">Concerns over health effects of vaping – and rising use among teens</a></li>
<li><a href="https://www.webmd.com/smoking-cessation/news/20180305/kids-who-vape-face-toxin-dangers-study-finds#1" target="_blank" rel="noopener">Kids Who Vape Face Toxin Dangers, Study Finds</a></li>
<li><a href="https://www.rehabcenter.net/dangers-of-vaping-e-cigs/" target="_blank" rel="noopener">The Dangers of Vaping &amp; E-Cigs</a></li>
<li><a href="https://www.sciencenewsforstudents.org/article/concerns-explode-over-new-health-risks-vaping" target="_blank" rel="noopener">Concerns explode over new health risks of vaping</a></li>
<li><a href="https://www.theauthenticgay.com/10-vaping-health-risks/" target="_blank" rel="noopener">10 SHOCKING HEALTH RISKS OF VAPING AND E-CIGARETTES</a></li>
<li><a href="http://vaping360.com/real-dangers-health-risks-vaping/" target="_blank" rel="noopener">The Real Dangers and Health Risks of Vaping</a></li>
<li><a href="https://www.buzzfeed.com/carolinekee/juul-ecigarette-vape-health-effects?utm_term=.uap9LO7Ze7#.ajjo048JN8" target="_blank" rel="noopener">Everything You Need To Know About The JUUL, Including The Health Effects</a></li>
<li><a href="https://www.medicalnewstoday.com/articles/216550.php" target="_blank" rel="noopener">Are e-cigarettes a safe alternative to smoking?</a></li>
</ul>
<h3>Concerned that your teen is vaping or might start soon? Come see us.</h3>
<p>If you’re worried that your child is vaping now or might start, please come in and see one of our <a href="http://www.westchesterhealth.com/" target="_blank" rel="noopener">Westchester Health</a> pediatricians. Together with you and your child, we will figure out the best way forward. If needed, we will also help your child find the right support network to stop vaping. As always, our #1 goal is to help your child stay healthy and happy, in any way we can. <em>Whenever, wherever you need us, we’re here for you.</em></p>
<p><a href="http://www.westchesterhealth.com/CONTACT_US" target="_blank" rel="noopener"><img class="aligncenter size-full wp-image-1244" src="https://www.westchesterhealth.com/blog/wha-media/uploads/2016/08/Appointment-CTA.png" alt="Appointment CTA" width="296" height="51" /></a></p>
<p><strong>To read Dr. Ivker&#8217;s blog in full, click <a href="https://www.pediatricswestchester.com/vaping-and-tobacco-what-you-and-your-family-should-know/" target="_blank" rel="noopener">here</a>.</strong></p>Wed, 20 Feb 2019 10:07:48 +0200Westchester Health Blog: How To Help Your Toddler Go To Sleephttps://www.westchesterhealth.com/blog/how-to-help-your-toddler-go-to-sleep/
<p>At <a href="http://www.westchesterhealth.com/" target="_blank" rel="noopener">Westchester Health</a>, we feel strongly that sleep is an essential component of healthy living, yet something that’s sometimes hard to come by (especially for exhausted parents of toddlers). Since we often get questions from bleary-eyed moms and dads wanting advice for getting their 2- or 3-year-old to go to sleep, we thought we’d share some guidelines that really seem to work, gleaned from our many years of <a href="https://www.pediatricswestchester.com/napping-and-sleep-issues/" target="_blank" rel="noopener">helping parents of toddlers master the art of bedtime</a>. Here&#8217;s a great blog on the subject by <a title="Lauren Adler, MD, FAAP" href="http://www.pediatricswestchester.com/lauren-adler-md-faap-westchester-health-pediatrics/%20" target="_blank" rel="noopener">Lauren Adler, MD, FAAP</a>, a pediatrician with our <a title="Westchester Health Pediatrics " href="http://www.pediatricswestchester.com/" target="_blank" rel="noopener">Westchester Health Pediatrics</a> group (excerpted below).<span id="more-2907"></span></p>
<h3>How much sleep toddlers should get</h3>
<p>Toddlers need different amounts of sleep at various stages of development. According to <a href="https://www.healthyfamiliesbc.ca/home/articles/healthy-sleep-habits-toddlers" target="_blank" rel="noopener">Healthy Families BC</a>, most, but not all, follow this pattern:</p>
<ul>
<li>12 months: Sleeps about 14 hours per day, partly during morning and afternoon naps.</li>
<li>12-18 months: the morning nap disappears and is replaced with one longer afternoon nap.</li>
<li>24 months: Sleeps 11-12 hours at night with a nap in the afternoon lasting 1-2 hours.</li>
<li>36 months: Sleeps about 12 hours at night and may or may not take a short nap.</li>
</ul>
<div id="attachment_2668" style="max-width: 108px" class="wp-caption alignright"><a href="https://www.westchesterhealth.com/blog/wha-media/uploads/2018/05/Lauren-Adler.jpg"><img class="wp-image-2668" src="https://www.westchesterhealth.com/blog/wha-media/uploads/2018/05/Lauren-Adler.jpg" alt="" width="98" height="98" srcset="https://www.westchesterhealth.com/blog/wha-media/uploads/2018/05/Lauren-Adler.jpg 200w, https://www.westchesterhealth.com/blog/wha-media/uploads/2018/05/Lauren-Adler-150x150.jpg 150w" sizes="(max-width: 98px) 100vw, 98px" /></a><p class="wp-caption-text">Lauren Adler, MD, FAAP</p></div>
<h3>10 best ways to help your toddler fall asleep</h3>
<p>The following suggestions from the <a href="https://my.clevelandclinic.org/health/articles/14306-healthy-sleep-habits-for-children" target="_blank" rel="noopener">Cleveland Clinic</a> will hopefully (fingers crossed) help your little one fall asleep, stay asleep and establish good sleep habits:</p>
<ol>
<li><strong>Adopt a nightly routine</strong> so your child has a quiet, calm time before bedtime and understands that it will soon be time to go to sleep.</li>
<li><strong>Maintain a consistent sleep schedule.</strong> Your child&#8217;s bedtime and wake up time should be the same every day, whenever possible, whether it is a school day or not.</li>
<li><strong>Avoid caffeinated drinks or foods</strong>. Incidentally, at <a href="http://www.westchesterhealth.com/" target="_blank" rel="noopener">Westchester Health</a> we don&#8217;t believe that children should be consuming much caffeine, in general.</li>
<li><strong>Give your child a bath,</strong> read him/her a story, followed by a cuddle and soft music. Avoid active play which will only excite your child and make sleep more difficult.</li>
<li><strong>Give your child some choices at bedtime.</strong> Let him/her pick the bedtime story or which pajamas to wear.</li>
<li><strong>Let your child take a favorite object to bed at night:</strong> a teddy bear, special blanket or favorite toy. It can help him/her fall asleep, and fall back asleep if he/she awakens during the night.</li>
<li><strong>Avoid watching TV before bedtime.</strong> TV is stimulating for your toddler, not relaxing.</li>
<li><strong>Make sure your child is comfortable.</strong> If he/she wants a drink of water or the night-light turned on, do these but then tell him/her it’s time to go to sleep.</li>
<li><strong>Make exercise part of your child’s daily routine.</strong> Not only does exercise help make your child tired and ready for sleep, it’s a healthy routine that will benefit your child throughout life.</li>
<li><strong>Do not let your child sleep in your bed.</strong> Even though some parents like to have their child sleep in bed with them, this makes it harder for him/her to fall asleep when alone. <strong>Also, studies show that letting your young child sleep in your bed increases the risk of <a href="https://www.pediatricswestchester.com/what-is-sids-and-how-can-i-protect-my-baby/" target="_blank" rel="noopener">SIDS</a>.</strong></li>
</ol>
<h3>If your child cries as soon as you leave the room</h3>
<p>As physicians and as parents, our advice is to wait several minutes before you go into your toddler’s room if he/she cries or calls for you after you’ve put him/her down for the night. Then each time your child calls, wait longer before responding. Reassure him/her that you are there, even when you’re out of sight, and that it’s time to go to sleep now. Remain firm! Don&#8217;t keep going in! You may have to put up with several minutes (hopefully not hours) of crying before your toddler figures out you&#8217;re not going to come in and pick him/her up every time they cry.</p>
<h3>Articles you might find helpful:</h3>
<ul>
<li><a href="https://my.clevelandclinic.org/health/articles/14306-healthy-sleep-habits-for-children" target="_blank" rel="noopener">Healthy Sleep Habits for Children</a></li>
<li><a href="https://www.healthyfamiliesbc.ca/home/articles/healthy-sleep-habits-toddlers" target="_blank" rel="noopener">Healthy Sleep Habits for Toddlers</a></li>
<li><a href="https://childmind.org/article/encouraging-good-sleep-habits/" target="_blank" rel="noopener">Encouraging Good Sleep Habits</a></li>
<li><a href="https://www.babycenter.com/0_establishing-healthy-sleep-habits-24-to-36-months_7690.bc" target="_blank" rel="noopener">Establishing healthy sleep habits: 24 to 36 months</a></li>
</ul>
<h3>Questions about your toddler’s sleep? Come see us.</h3>
<p>If you’re having trouble getting your child to go to sleep, or he/she is having sleep issues, or you simply have questions about any aspect of your child’s growth and development, please make an appointment with one of our <a href="http://www.westchesterhealth.com/" target="_blank" rel="noopener">Westchester Health</a> pediatricians. We will meet with you and your child, see if there is indeed a problem, and together with you, decide on the best strategy so hopefully everyone can rest easy. Our #1 goal is to help you raise a happy, healthy child and for you to feel confident as a parent. <em>Whenever, wherever you need us, we’re here for you.</em></p>
<p><a href="http://www.westchesterhealth.com/CONTACT_US" target="_blank" rel="noopener"><img class="aligncenter size-full wp-image-1244" src="https://www.westchesterhealth.com/blog/wha-media/uploads/2016/08/Appointment-CTA.png" alt="Appointment CTA" width="296" height="51" /></a></p>
<p><strong>To read Dr. Adler&#8217;s blog in full, click <a href="https://www.pediatricswestchester.com/how-to-help-your-toddler-establish-good-sleep-habits/" target="_blank" rel="noopener">here</a>.</strong></p>Wed, 13 Feb 2019 08:47:33 +0200Westchester Health Blog: Am I Holding My Newborn The Right Way?https://www.westchesterhealth.com/blog/am-i-holding-my-newborn-the-right-way/
<p>If you&#8217;re like a lot of first-time parents, handling your newborn baby can be kind of scary. Are you doing it right? What if you drop the baby? Are you supporting his/her head properly? It&#8217;s a lot to deal with. At <a href="http://www.westchesterhealth.com/" target="_blank" rel="noopener">Westchester Health</a>, we get it. We&#8217;re parents too. And we want you to know that we’re here for you with <a href="https://www.pediatricswestchester.com/parents/" target="_blank" rel="noopener">guidance, tips and advice</a> for <a href="https://www.pediatricswestchester.com/whats-the-right-way-to-hold-my-newborn/" target="_blank" rel="noopener">properly and safely handling your newborn</a>, especially <a href="https://www.pediatricswestchester.com/new-parents/" target="_blank" rel="noopener">new parents</a>. To start you on your way, here&#8217;s a great blog on the subject by <a title="Lauren Adler, MD, FAAP" href="http://www.pediatricswestchester.com/lauren-adler-md-faap-westchester-health-pediatrics/%20" target="_blank" rel="noopener">Lauren Adler, MD, FAAP</a>, a pediatrician with our <a title="Westchester Health Pediatrics " href="http://www.pediatricswestchester.com/" target="_blank" rel="noopener">Westchester Health Pediatrics</a> group (excerpted below). <span id="more-2904"></span></p>
<h3>2 important things to know before even picking up your baby</h3>
<p><strong>1. Be sure to support the head and neck. </strong>When carrying, picking up or laying your baby down, make sure to support his/her head and neck with your hands. Your baby’s head is the heaviest part of his/her body at birth and the neck muscles are not yet strong enough to support it on their own. (This typically takes 4 months.)</p>
<div id="attachment_2668" style="max-width: 148px" class="wp-caption alignright"><a href="https://www.westchesterhealth.com/blog/wha-media/uploads/2018/05/Lauren-Adler.jpg"><img class="wp-image-2668" src="https://www.westchesterhealth.com/blog/wha-media/uploads/2018/05/Lauren-Adler.jpg" alt="" width="138" height="138" srcset="https://www.westchesterhealth.com/blog/wha-media/uploads/2018/05/Lauren-Adler.jpg 200w, https://www.westchesterhealth.com/blog/wha-media/uploads/2018/05/Lauren-Adler-150x150.jpg 150w" sizes="(max-width: 138px) 100vw, 138px" /></a><p class="wp-caption-text">Lauren Adler, MD, FAAP</p></div>
<p><strong>2. Wash your hands. </strong><a href="https://www.healthline.com/health/parenting/how-to-hold-a-newborn#1" target="_blank" rel="noopener">Healthline.com</a> says that you should always make sure your hands are clean before you pick up your baby. Newborns have not developed a strong immune system yet, making them very susceptible to germs that are easily transmitted from people’s hands.</p>
<h3>Many positions and holds to choose from</h3>
<p>Different &#8220;baby holds&#8221; work better for different purposes, such as breastfeeding, burping or soothing. Here are our 6 favorite holds, from <a href="https://www.momjunction.com/articles/ways-hold-new-born-child_0085453/#gref" target="_blank" rel="noopener">Mom Junction.com</a>:</p>
<p><strong>1. The cradle hold</strong></p>
<ul>
<li>With your baby horizontal at chest level, slide your hand from their bottom up to support their neck.</li>
<li>Gently nudge your baby’s head into the crook of your elbow.</li>
<li>While still cradling their head, move your hand from your supporting arm to your baby’s</li>
<li>Your free arm can provide extra support or perform other tasks.</li>
</ul>
<p><strong>2. The shoulder hold</strong></p>
<ul>
<li>With your baby’s body parallel with your own, lift their head to shoulder height.</li>
<li>Rest their head on your chest and shoulder so they can look out behind you.</li>
<li>Keep one hand on their head and neck, and your other hand supporting baby’s bottom. This position also lets your baby hear your heartbeat.</li>
</ul>
<p><strong>3. The belly hold</strong></p>
<ul>
<li>Lay your baby, stomach down, across your forearm with the head up toward your elbow.</li>
<li>Their feet should land on either side of your hand, angled closer to the ground so your baby is at a slight angle.</li>
<li>This position is helpful if your baby is gassy and needs to be burped. Gently stroke your baby’s back to work out the gas.</li>
</ul>
<p><strong>4. The lap hold</strong></p>
<ul>
<li>Sit in a chair with your feet firmly on the ground and place your baby in your lap. Their head should be at your knees, face up.</li>
<li>Lift their head up with both of your hands for support and your forearms under their body. Your baby’s feet should be tucked in at your waist.</li>
</ul>
<p><strong>5. The face-to-face hold</strong></p>
<ul>
<li>Support your baby’s head and neck with one hand.</li>
<li>Offer support to his/her bottom with your other hand.</li>
<li>Hold your baby just below the chest facing you.</li>
</ul>
<p><strong>6. The football hold </strong></p>
<ul>
<li>Support your baby’s neck and head with your hand, and the rest of their back with your same forearm.</li>
<li>Adjust your baby’s head and neck with your other hand.</li>
<li>Encourage your baby to curl towards your body side, with the legs extended behind.</li>
<li>Draw your baby close to your chest.</li>
<li>Use the other free hand for offering extra support to the head or to feed your baby.</li>
</ul>
<h3>MOST IMPORTANT: NEVER SHAKE YOUR BABY</h3>
<p>Vigorously shaking your baby is very dangerous and can cause bleeding in the brain and even death. At <a href="http://www.westchesterhealth.com/" target="_blank" rel="noopener">Westchester Health</a>, we understand that a constantly crying or colicky baby is hard to endure at times. When this happens, we recommend playing music, gently rocking your baby, or making soft, soothing, cooing sounds to help stop the crying. Put the baby down and leave the room to take a break if you need to. Whatever you do, don’t shake. <strong><em>If you feel like you’re at the end of your rope, please ask for help. Call your partner, a friend or your pediatrician and we’ll talk you through it.</em></strong></p>
<h3>Helpful articles on baby holds:</h3>
<ul>
<li><a href="https://www.momjunction.com/articles/ways-hold-new-born-child_0085453/#gref" target="_blank" rel="noopener">How To Hold A Baby: 8 Safe Positions With Pictures</a></li>
<li><a href="https://www.healthline.com/health/parenting/how-to-hold-a-newborn#1" target="_blank" rel="noopener">How to Hold a Newborn Baby</a></li>
</ul>
<h3>Questions about how to hold your baby? Come see us.</h3>
<p>If you’d like more information about the best ways to hold and handle your newborn, or any aspect of raising your baby, please make an appointment with one of our <a href="http://www.westchesterhealth.com/" target="_blank" rel="noopener">Westchester Health</a> pediatricians. We’ll answer all your questions, offer advice and guidance, and be a listening ear if that’s what you need. Our #1 goal is to help you raise a happy, healthy baby and for you to feel confident as a parent. <em>Whenever, wherever you need us, we’re here for you.</em></p>
<p><a href="http://www.westchesterhealth.com/CONTACT_US" target="_blank" rel="noopener"><img class="aligncenter size-full wp-image-1244" src="https://www.westchesterhealth.com/blog/wha-media/uploads/2016/08/Appointment-CTA.png" alt="Appointment CTA" width="296" height="51" /></a></p>
<p><strong>To read Dr. Adler&#8217;s blog in full, click <a href="https://www.pediatricswestchester.com/whats-the-right-way-to-hold-my-newborn/" target="_blank" rel="noopener">here</a>.</strong></p>Wed, 06 Feb 2019 09:04:43 +0200Westchester Health Blog: Worried That Your Child Might Be Using Drugs? We Can Help With Solutions.https://www.westchesterhealth.com/blog/worried-that-your-child-might-be-using-drugs-we-can-help-with-solutions/
<p>Sometimes it seems like every kid in American has either tried drugs, is using them now, or knows someone who is using them. At <a href="http://www.westchesterhealth.com/" target="_blank" rel="noopener">Westchester Health</a>, we get it. We&#8217;re parents too, and we want you to know that we’re on your side and will do everything we can to help your child avoid these substances and instead, make smart, healthy choices, now and throughout their lives. The first step? Read this very insightful blog by <a title="Lauren Adler, MD, FAAP" href="http://www.pediatricswestchester.com/lauren-adler-md-faap-westchester-health-pediatrics/%20" target="_blank" rel="noopener">Lauren Adler, MD, FAAP</a>, a pediatrician with our <a title="Westchester Health Pediatrics " href="http://www.pediatricswestchester.com/" target="_blank" rel="noopener">Westchester Health Pediatrics</a> group (excerpted below). There is also helpful <a href="https://www.pediatricswestchester.com/teens/" target="_blank" rel="noopener">information and advice specifically for teens</a> on the WHP website which you can access <a href="https://www.pediatricswestchester.com/teens/" target="_blank" rel="noopener">here</a>.</p>
<p><span id="more-2890"></span></p>
<h3>As a parent, you have a major impact on your child’s decision not to use drugs.</h3>
<div id="attachment_2668" style="max-width: 135px" class="wp-caption alignright"><a href="https://www.westchesterhealth.com/blog/wha-media/uploads/2018/05/Lauren-Adler.jpg"><img class="wp-image-2668" src="https://www.westchesterhealth.com/blog/wha-media/uploads/2018/05/Lauren-Adler.jpg" alt="" width="125" height="125" srcset="https://www.westchesterhealth.com/blog/wha-media/uploads/2018/05/Lauren-Adler.jpg 200w, https://www.westchesterhealth.com/blog/wha-media/uploads/2018/05/Lauren-Adler-150x150.jpg 150w" sizes="(max-width: 125px) 100vw, 125px" /></a><p class="wp-caption-text">Lauren Adler, MD, FAAP</p></div>
<p>In fact, parents are the strongest influence a child can have. There is no guarantee that your child won’t use drugs, but drug use is much less likely to happen if you talk with him/her about the dangers of drugs and how—and why—not to use them.</p>
<p><em>Listening</em> to your child is also vitally important. Your child has a lot to say and probably knows more about drugs than you think. Above all, open, honest and frequent dialogue is key to helping your child avoid drugs, especially in his/her adolescent, teen and young adult years.</p>
<p>At <a href="http://www.westchesterhealth.com/" target="_blank" rel="noopener">Westchester Health</a>, we also play a part in helping your child avoid, or stop, using drugs. Because we believe so strongly that a trusting patient-physician relationship is crucial for healthy behavior, we will take as much time as is necessary to work through all the drug-related issues facing your child, and together with you, find solutions.</p>
<p><a href="https://www.pediatricswestchester.com/substance-abuse-referrals/" target="_blank" rel="noopener">Substance abuse support and referrals</a> are just one of the many ways we help parents raise healthy, happy kids. To learn about all the services we offer, <a href="https://www.pediatricswestchester.com/our-services/" target="_blank" rel="noopener">click here</a>.</p>
<h3>Facts about teen alcohol use</h3>
<p>Adolescents who drink usually start with beer, wine or flavored malt alcohol (a sweet-tasting blend of alcohol and carbonated fruit juice). Because every child’s height, weight, metabolism and physical build is different, it’s hard to say how much alcohol it takes for your child to get drunk. Nevertheless, the legal definition of drunkenness is a person’s blood alcohol concentration, or BAC. All 50 states except Utah define a BAC of 0.08 percent as the legal limit for driving under the influence (DUI) or driving while impaired (DWI).</p>
<h4>Signs of alcohol use</h4>
<ul>
<li>Slurred speech</li>
<li>Impaired judgment and motor skills</li>
<li>Poor coordination</li>
<li>Confusion</li>
<li>Tremors, shaking</li>
<li>Drowsiness</li>
<li>Agitation, combative behavior</li>
<li>Nausea and vomiting</li>
<li>Depression</li>
<li>Weight gain</li>
<li>False i.d. card</li>
<li>Smell of alcohol on breath</li>
</ul>
<h4>Possible long-term effects</h4>
<ul>
<li>Blackouts and memory loss</li>
<li>Vitamin deficiencies, malnutrition</li>
<li>Suppression of the immune system, which leaves a person open to infectious diseases such as pneumonia and tuberculosis</li>
<li>Hormonal deficiencies, sexual dysfunction, infertility</li>
<li>Inflammation of the pancreas (pancreatitis)</li>
<li>Alcoholic hepatitis</li>
<li>Alcoholic cirrhosis</li>
<li>Cardiovascular disease and stroke</li>
<li>Alcohol-withdrawal delirium, or delirium tremens</li>
<li>Car accidents</li>
<li>STDs</li>
<li>Unwanted pregnancy</li>
</ul>
<h3>Facts about teen marijuana use</h3>
<p>Similar to alcohol, kids who smoke marijuana can easily lose control and become addicted. They often perform poorly in school or sports, lose interest in hobbies, and develop relationship problems with family and friends. As with alcohol, the younger a person starts smoking marijuana, the more likely they will become addicted.</p>
<h4>Signs of marijuana use</h4>
<ul>
<li>Spends less time with family and friends and more time alone or away from home</li>
<li>Often seems moody or irritable</li>
<li>Skips classes, often shows up late for school, has a drop in grades</li>
<li>Likes t-shirts with pro-marijuana messages or symbols</li>
<li>Loses interest in hobbies</li>
<li>Comes home high (talkative, giggly, red- or glassy-eyed) and goes straight to their room</li>
<li>Smells of marijuana</li>
<li>Possesses drugs or drug paraphernalia</li>
</ul>
<h4>What you can do</h4>
<ul>
<li>Set high expectations and clear limits</li>
<li>Instill strong values. Let your child know that you expect him/her not to use drugs.</li>
<li>Talk with your child, starting at an early age, about the dangers of drug use, including marijuana</li>
<li>Do not lecture or do all the talking.</li>
<li>Use teachable moments, like car accidents and other tragedies that are caused by drug use</li>
<li>Help your child handle peer pressure</li>
<li>Help your child find positive interests that build self-esteem</li>
<li>Help your child deal with emotions, especially during the teen years</li>
<li>Set a good example. Avoid using tobacco and illicit drugs. Minimize alcohol use, and always avoid drinking and driving.</li>
<li>Get a professional evaluation. If you think your child is using drugs, alert your child&#8217;s pediatrician, who can help.</li>
</ul>
<h3>Facts about teen vaping use</h3>
<p>Many people, especially teens, think that vaping (smoking e-cigarettes) is a safe alternative to smoking but THIS IS NOT TRUE. Vaping is just another way of inputting nicotine—a highly addictive drug—into the body. To alert parents about the dangers of e-cigarettes and vaping, here are two 2 blogs on our WHP website that we strongly urge you to read:</p>
<p>1. <a href="https://www.pediatricswestchester.com/how-dangerous-are-e-cigarettesvaping/" target="_blank" rel="noopener">How Dangerous Are E-Cigarettes/Vaping?</a><br />
2. <a href="https://www.pediatricswestchester.com/does-your-child-juul-jewel-or-phix-fix-heres-why-you-should-worry/" target="_blank" rel="noopener">Does Your Child JUUL (“jewel”) or PHIX (“fix”)? Here’s Why You Should Worry.</a></p>
<h3>Facts about teen tobacco use</h3>
<p>90% of daily tobacco users begin by age 18. Alarmingly,<strong> trying tobacco just one time</strong> puts young people at risk for addiction to nicotine. Factors that can encourage teen tobacco use:</p>
<ul>
<li>Use of tobacco products by friends or family members</li>
<li>Lack of parental support or involvement</li>
<li>Accessibility and availability of tobacco products</li>
<li>Low academic achievement</li>
<li>Low self-esteem</li>
<li>Exposure to tobacco advertising (movies, TV, video games)</li>
</ul>
<p>To learn more about teens and the dangers of smoking, please read this WHP blog: <a href="https://www.pediatricswestchester.com/smoking-and-teenagers-a-very-harmful-combination/" target="_blank" rel="noopener">Smoking And Teenagers: A Very Harmful Combination</a></p>
<h3>Facts about teen opioid use</h3>
<p>Opioids are highly addictive narcotic drugs, including prescription pain medicine and illegal substances like heroin. Large doses can slow the body&#8217;s heart and breathing rate to the point of stopping them completely. The effects of opioids on teens</p>
<ul>
<li>Parents who become addicted to opioids often neglect to properly care for their children.</li>
<li>Long-term damage from prenatal exposure. Since 2000, there has been a fivefold increase in the number of children born with neonatal abstinence syndrome (NAS) after opioid exposure during their mother&#8217;s pregnancy. Babies with NAS are more likely to have low birth weight, respiratory complications, feeding difficulties and seizures, as well as developmental problems that affect learning and behavior.</li>
<li>Poisoning and overdose. Children and teens hospitalized for opioid poisoning tripled between 1997 and 2012. While most of the overdose patients were teens, the largest overall increase in poisonings was among toddlers and preschoolers.</li>
</ul>
<h4>What you can do</h4>
<ul>
<li>Talk to your kids. Tell your children how dangerous, even deadly, opioid drugs can be. Children who learn about the risks of drugs at home are less likely to use drugs than those who don&#8217;t. Surveys show two-thirds of teens who misuse prescription painkillers got them from friends, family members and acquaintances.</li>
<li>Safe storage. Keep opioids and other prescription medications in a secure place. Ask your friends, family members, and babysitters to do the same.</li>
<li>Destroy leftover or unused prescription medication. We recommend flushing them down the toilet instead of throwing them in the trash where they can be retrieved and used.</li>
<li>Ask for help. If you think you or your child may be using opioids and/or developing an addiction, don&#8217;t hesitate to seek help.</li>
<li>Know what to do in an overdose emergency. Ask your pediatrician about Naloxone nasal spray (brand name Narcan®) which can prevent opioid overdose deaths. And don’t hesitate to call 911 if you believe your child is experiencing an overdose.</li>
</ul>
<h3>Important articles you should read:</h3>
<ul>
<li><a href="https://www.healthychildren.org/English/ages-stages/teen/Pages/Mental-Health-and-Teens-Watch-for-Danger-Signs.aspx" target="_blank" rel="noopener">Mental Health and Teens: Watch for Danger Signs</a></li>
<li><a href="https://www.healthychildren.org/English/ages-stages/teen/substance-abuse/Pages/Is-Your-Child-Vulnerable-to-Substance-Abuse.aspx" target="_blank" rel="noopener">Is Your Child Vulnerable to Substance Abuse?</a></li>
<li><a href="https://www.healthychildren.org/English/ages-stages/teen/substance-abuse/Pages/Helping-Teens-Resist-Pressure-to-Try-Drugs.aspx" target="_blank" rel="noopener">Helping Teens Resist Pressure to Try Drugs</a></li>
<li><a href="https://www.healthychildren.org/English/ages-stages/teen/substance-abuse/Pages/Alcohol-The-Most-Popular-Choice.aspx" target="_blank" rel="noopener">Alcohol: The Most Popular Choice</a></li>
<li><a href="https://www.healthychildren.org/English/ages-stages/teen/substance-abuse/Pages/Drug-Abuse-Prevention-Starts-with-Parents.aspx" target="_blank" rel="noopener">Drug Abuse Prevention Starts with Parents</a></li>
<li><a href="https://www.healthychildren.org/English/ages-stages/teen/substance-abuse/Pages/E-cigarettes.aspx" target="_blank" rel="noopener">Vaping: Dangerous, Available &amp; Addictive</a></li>
<li><a href="https://www.healthychildren.org/English/ages-stages/teen/substance-abuse/Pages/The-Opioid-Epidemic.aspx" target="_blank" rel="noopener">The Opioid Epidemic: How to Protect Your Family</a></li>
<li><a href="https://www.healthychildren.org/English/ages-stages/teen/substance-abuse/Pages/Talking-to-Teens-About-Drugs-and-Alcohol.aspx" target="_blank" rel="noopener">Talking to Teens About Drugs and Alcohol</a></li>
<li><a href="https://www.healthychildren.org/English/ages-stages/teen/substance-abuse/Pages/Teens-and-Tobacco-Use.aspx" target="_blank" rel="noopener">Teens and Tobacco Use</a></li>
<li><a href="https://www.healthychildren.org/English/ages-stages/teen/substance-abuse/Pages/Marijuana-Cannabis.aspx" target="_blank" rel="noopener">Marijuana: What Parents Need to Know</a></li>
</ul>
<h3>Above all, our goal is to help your child grow up healthy and happy, without drugs</h3>
<p>If you’re worried that your child might be using drugs, please come in and see one of our <a href="http://www.westchesterhealth.com/" target="_blank" rel="noopener">Westchester Health</a> pediatricians. We will examine your child, listen to your concerns, answer your questions, and together with you and your child, determine the best way forward to achieve a healthy, drug-free life. <em>Whenever, wherever you need us, we’re here for you.</em></p>
<p><a href="http://www.westchesterhealth.com/CONTACT_US" target="_blank" rel="noopener"><img class="aligncenter size-full wp-image-1244" src="https://www.westchesterhealth.com/blog/wha-media/uploads/2016/08/Appointment-CTA.png" alt="Appointment CTA" width="296" height="51" /></a></p>
<p><strong>To read Dr. Adler&#8217;s blog in full, click <a href="https://www.pediatricswestchester.com/concerned-that-your-child-may-be-using-drugs-we-can-help/" target="_blank" rel="noopener">here</a>.</strong></p>Wed, 30 Jan 2019 09:35:33 +0200Westchester Health Blog: Nutritional Assessments Are An Important Way We Make Sure Your Child Is Growing Up Healthyhttps://www.westchesterhealth.com/blog/nutritional-assessments-are-an-important-way-we-make-sure-your-child-is-growing-up-healthy/
<p>At <a href="http://www.westchesterhealth.com/" target="_blank" rel="noopener">Westchester Health</a>, your child’s nutrition is one of our top priorities and something we really pay attention to each time your child comes in to see us for an office visit. To help parents understand what developmental signs and benchmarks we&#8217;re looking for, we offer this highly informational blog by <a title="Lauren Adler, MD, FAAP" href="http://www.pediatricswestchester.com/lauren-adler-md-faap-westchester-health-pediatrics/%20" target="_blank" rel="noopener">Lauren Adler, MD, FAAP</a>, a pediatrician with our <a title="Westchester Health Pediatrics " href="http://www.pediatricswestchester.com/" target="_blank" rel="noopener">Westchester Health Pediatrics</a> group (excerpted below). <a href="https://www.pediatricswestchester.com/nutritional-assessments/" target="_blank" rel="noopener">Nutritional assessments</a> are just one of the many ways we help parents raise healthy, happy kids. To learn about all of the services we offer, <a href="https://www.pediatricswestchester.com/our-services/" target="_blank" rel="noopener">click here</a>.<span id="more-2884"></span></p>
<h3>Whether we’re seeing your child for a routine visit, illness or injury, we make sure to check his/her overall health status.</h3>
<p>If we feel your child is not getting adequate nutrition (underweight) or is eating more than necessary (overweight), we’ll discuss this with you and your child, and together, decide on the best course of action. This might include referring your child to our on-staff nutritionist, suggesting vitamin supplements, or discussing which foods he/she should be eating for a healthy diet.</p>
<div id="attachment_2668" style="max-width: 134px" class="wp-caption alignright"><a href="https://www.westchesterhealth.com/blog/wha-media/uploads/2018/05/Lauren-Adler.jpg"><img class="wp-image-2668" src="https://www.westchesterhealth.com/blog/wha-media/uploads/2018/05/Lauren-Adler.jpg" alt="" width="124" height="124" srcset="https://www.westchesterhealth.com/blog/wha-media/uploads/2018/05/Lauren-Adler.jpg 200w, https://www.westchesterhealth.com/blog/wha-media/uploads/2018/05/Lauren-Adler-150x150.jpg 150w" sizes="(max-width: 124px) 100vw, 124px" /></a><p class="wp-caption-text">Lauren Adler, MD, FAAP</p></div>
<h3>How to know if your child is overweight or obese</h3>
<p>Obesity is usually defined as being more than 20% above the ideal weight for your child’s particular height and age. If your child falls within this range, it’s important to find ways to help him/her achieve and maintain a healthy weight, now and in the years to come. To calculate your child’s BMI (Body Mass Index), <a href="https://kidshealth.org/en/parents/bmi-charts.html" target="_blank" rel="noopener">use this chart</a> from Kid’s Health.</p>
<h3>Signs that your child might be underweight</h3>
<p>Although a lot of attention is paid to overweight kids, at <a href="http://www.westchesterhealth.com/" target="_blank" rel="noopener">Westchester Health</a> we also become concerned when a child is underweight. In general, this occurs when someone is in the bottom 5<sup>th</sup> percentile for weight compared to their height. Here are some things to look for:</p>
<ul>
<li>If your child’s weight percentile consistently decreases on growth charts at his/her annual well-child visit, this is cause for concern.</li>
<li>If a younger child does not outgrow clothes after several months, bring him/her in to see us. For an older child, if clothes seem to hang too loosely on their body (i.e., your child routinely is not “filling out” his/her clothes), this is cause for concern.</li>
<li>At bath time, or while swimming or at the beach, notice whether you can see your child’s ribs. Ribs that stick out or are easily visible are a sign that your child may be underweight and is not getting enough nutrition.</li>
</ul>
<h3><strong>Eating disorders</strong></h3>
<p>Although eating disorders are more common in girls, boys can experience them too. There are several types of eating disorders but they typically have to do with a preoccupation with body image and being thin. To learn more, please visit these pages and blogs on our WHP website:</p>
<ul>
<li><a href="https://www.pediatricswestchester.com/eating-disorders/" target="_blank" rel="noopener">Eating disorders in children</a></li>
<li><a href="https://www.pediatricswestchester.com/what-you-should-know-about-teenage-eating-disorders/" target="_blank" rel="noopener">What You Should Know About Teenage Eating Disorders</a></li>
<li><a href="https://www.pediatricswestchester.com/does-your-child-have-bulimia/" target="_blank" rel="noopener">Does Your Child Have Bulimia?</a></li>
</ul>
<h3><strong>Additional articles you might want to read:</strong></h3>
<ul>
<li><a href="https://brightfutures.aap.org/Bright%20Futures%20Documents/BF4_HealthyWeight.pdf" target="_blank" rel="noopener">Promoting Healthy Weight</a></li>
<li><a href="https://www.healthychildren.org/English/healthy-living/nutrition/Pages/Childhood-Nutrition.aspx" target="_blank" rel="noopener">Childhood Nutrition</a></li>
<li><a href="https://www.healthychildren.org/English/healthy-living/nutrition/Pages/Food-Additives.aspx" target="_blank" rel="noopener">Food Additives: What Parents Should Know</a></li>
<li><a href="https://www.healthychildren.org/English/healthy-living/nutrition/Pages/Avoiding-Food-Traps.aspx" target="_blank" rel="noopener">Avoiding Food Traps</a></li>
<li><a href="https://www.healthychildren.org/English/healthy-living/nutrition/Pages/Cholesterol-Levels-in-Children-and-Adolescents.aspx" target="_blank" rel="noopener">Cholesterol Levels in Children and Adolescents</a></li>
<li><a href="https://www.healthychildren.org/English/healthy-living/nutrition/Pages/Choosing-Healthy-Snacks-for-Children.aspx" target="_blank" rel="noopener">Choosing Healthy Snacks for Kids</a></li>
<li><a href="https://www.healthychildren.org/English/healthy-living/nutrition/Pages/How-to-Get-Your-Child-to-Eat-More-Fruits-and-Veggies.aspx" target="_blank" rel="noopener">How to Get Your Child to Eat More Fruits &amp; Veggies</a></li>
<li><a href="https://www.healthychildren.org/English/healthy-living/nutrition/Pages/How-To-Please-Fussy-Eaters.aspx" target="_blank" rel="noopener">How to Please Fussy Eaters</a></li>
<li><a href="https://www.healthychildren.org/English/healthy-living/nutrition/Pages/Making-Sure-Your-Child-is-Eating-Enough.aspx" target="_blank" rel="noopener">Making Sure Your Child is Eating Enough</a></li>
<li><a href="https://www.healthychildren.org/English/healthy-living/nutrition/Pages/The-5-Food-Groups-Sample-Choices.aspx" target="_blank" rel="noopener">The 5 Food Groups: Sample Choices</a></li>
</ul>
<h3><strong>Above all, our goal is to help your child get and stay healthy</strong></h3>
<p>If you’re concerned about your child’s weight, nutritional intake or any other aspect of his/her health, please come in and see one of our <a href="http://www.westchesterhealth.com/" target="_blank" rel="noopener">Westchester Health</a> pediatricians. We will examine your child, listen to your concerns, answer your questions, and together with you and your child, determine what steps would be best to achieve the optimal health for your child. <em>Whenever, wherever you need us, we’re here for you.</em></p>
<p><a href="http://www.westchesterhealth.com/CONTACT_US" target="_blank" rel="noopener"><img class="aligncenter size-full wp-image-1244" src="https://www.westchesterhealth.com/blog/wha-media/uploads/2016/08/Appointment-CTA.png" alt="Appointment CTA" width="296" height="51" /></a></p>
<p><strong>To read Dr. Adler&#8217;s blog in full, click <a href="https://www.pediatricswestchester.com/nutritional-assessments-an-important-way-we-help-your-child-grow-up-healthy/" target="_blank" rel="noopener">here</a>.</strong></p>Wed, 23 Jan 2019 08:59:29 +0200Westchester Health Blog: Will It Hurt The Baby To Have Sex During Pregnancy?https://www.westchesterhealth.com/blog/will-it-hurt-the-baby-to-have-sex-during-pregnancy/
<p>&#8220;Can sex during pregnancy harm the baby?&#8221; At <a href="http://www.westchesterhealth.com/" target="_blank" rel="noopener">Westchester Health</a>, this is one of the most frequent questions we get asked by expecting couples. Our answer (unless there’s a problem) is almost always no. To learn why, we urge you to read this informative blog on the subject by <a title="Lauren Adler, MD, FAAP" href="http://www.pediatricswestchester.com/lauren-adler-md-faap-westchester-health-pediatrics/%20" target="_blank" rel="noopener">Lauren Adler, MD, FAAP</a>, a pediatrician with our <a title="Westchester Health Pediatrics " href="http://www.pediatricswestchester.com/" target="_blank" rel="noopener">Westchester Health Pediatrics</a> group (excerpted below). There is also a good deal of <a href="https://www.pediatricswestchester.com/expecting/" target="_blank" rel="noopener">helpful information and advice for expecting parents</a> on the WHP website which you can access <a href="https://www.pediatricswestchester.com/expecting/" target="_blank" rel="noopener">here</a>. <span id="more-2870"></span></p>
<h3>For most women with low-risk pregnancies with no complications, sex during pregnancy is very safe and will not harm the developing fetus.</h3>
<p>The amniotic sac and the strong muscles of the uterus protect the unborn baby, and the thick mucus plug that seals the cervix helps guard against infection. During intercourse, the penis does not go beyond the vagina, so it won&#8217;t reach the baby.</p>
<div id="attachment_2668" style="max-width: 128px" class="wp-caption alignright"><a href="https://www.westchesterhealth.com/blog/wha-media/uploads/2018/05/Lauren-Adler.jpg"><img class="wp-image-2668" src="https://www.westchesterhealth.com/blog/wha-media/uploads/2018/05/Lauren-Adler.jpg" alt="" width="118" height="118" srcset="https://www.westchesterhealth.com/blog/wha-media/uploads/2018/05/Lauren-Adler.jpg 200w, https://www.westchesterhealth.com/blog/wha-media/uploads/2018/05/Lauren-Adler-150x150.jpg 150w" sizes="(max-width: 118px) 100vw, 118px" /></a><p class="wp-caption-text">Lauren Adler, MD, FAAP</p></div>
<h3>&#8220;Pregnant sex&#8221; trimester by trimester <strong><br />
</strong></h3>
<p><strong>1st trimester: </strong><br />
Sex in the first weeks of pregnancy is usually not on the minds of most moms-to-be due to <a href="https://www.pediatricswestchester.com/morning-sickness/" target="_blank" rel="noopener">morning sickness</a> (which is usually at its worse during this time).</p>
<p><strong>2nd trimester: </strong><br />
By this stage, <a href="https://www.pediatricswestchester.com/morning-sickness/" target="_blank" rel="noopener">morning sickness</a> for most women has passed (or at least decreased) and they’re feeling much better. In addition, for most women, their stomach has not become overly huge yet.</p>
<p><strong>3rd trimester:</strong><br />
At this point, sex becomes more physically difficult, especially during the final weeks of pregnancy. A woman’s belly is now really large, she is usually tired all the time, and being done with pregnancy is often the only thing on her mind.</p>
<h3>Can having sex trigger labor?</h3>
<p>Contrary to popular belief, no (if you are low-risk). Sexual stimulation or orgasm cannot start labor or cause a miscarriage. While orgasm may cause mild uterine contractions (as can nipple stimulation), those contractions are generally temporary and harmless.</p>
<h3>You should NOT have sex while pregnant if you have:</h3>
<ol>
<li><strong>A history of repeated miscarriages</strong>, preterm labor or premature birth.</li>
<li><b>Placenta</b> <strong>previa </strong>(the placenta is covering the cervix) which puts you at risk of hemorrhaging if you have sex during pregnancy.</li>
<li><strong>Premature rupture of membranes</strong> which occurs when the sac containing the developing baby and the amniotic fluid bursts or develops a hole before labor. If this occurs, you should contact your doctor right away.</li>
<li><strong>Vaginal bleeding or foul-smelling discharge after sex.</strong> If this occurs, you should contact your doctor right away. Discharge may be a sign of an infection that can travel upward to the uterus, and bleeding may be a sign of any number of problems.</li>
<li><strong>A partner with an STD.</strong> In this circumstance, you must use a barrier method of contraception, such as a condom, to protect yourself and your unborn baby.</li>
<li><strong>Leaking amniotic fluid.</strong> If this occurs, you should contact your doctor right away.</li>
<li><strong>Your cervix begins to open prematurely</strong> (cervical incompetence).</li>
</ol>
<h3>Some helpful articles on the subject:</h3>
<ul>
<li><a href="https://www.babycenter.com/sex-during-pregnancy-overview" target="_blank" rel="noopener">Sex during pregnancy: How to stay safe and have fun</a></li>
<li><a href="https://www.parents.com/pregnancy/my-life/sex-relationship/best-positions-for-pregnancy-sex/" target="_blank" rel="noopener">The Best Positions for Pregnancy Sex</a></li>
<li><a href="https://www.mayoclinic.org/healthy-lifestyle/pregnancy-week-by-week/in-depth/sex-during-pregnancy/art-20045318" target="_blank" rel="noopener">Sex during pregnancy: What&#8217;s OK, what&#8217;s not</a></li>
</ul>
<h3>Concerned about sex while pregnant? Come see us.</h3>
<p>If you’d like more information on whether it’s okay for you and your partner to have sex during pregnancy, or if you’re worried about the safety of the baby, please make an appointment with one of our <a href="http://www.westchesterhealth.com/" target="_blank" rel="noopener">Westchester Health</a> pediatricians or a <a href="https://www.westchesterhealth.com/obstetrics" target="_blank" rel="noopener">Westchester Health OB/GYN</a>. Our #1 goal is for you to have a safe pregnancy and deliver a healthy baby. <em>Whenever, wherever you need us, we’re here for you.</em></p>
<p><a href="http://www.westchesterhealth.com/CONTACT_US" target="_blank" rel="noopener"><img class="aligncenter size-full wp-image-1244" src="https://www.westchesterhealth.com/blog/wha-media/uploads/2016/08/Appointment-CTA.png" alt="Appointment CTA" width="296" height="51" /></a></p>
<p><strong>To read Dr. Adler&#8217;s blog in full, click <a href="https://www.pediatricswestchester.com/is-it-safe-to-have-sex-during-pregnancy/" target="_blank" rel="noopener">here</a>.</strong></p>Wed, 16 Jan 2019 08:56:08 +0200Westchester Health Blog: Morning Sickness? 14 Best Ways To Ease The Miseryhttps://www.westchesterhealth.com/blog/morning-sickness-14-best-ways-to-ease-the-misery/
<p>As we tell our patients at <a href="http://www.westchesterhealth.com/" target="_blank" rel="noopener">Westchester Health</a> who are pregnant, expecting a baby is a wonderful thing but morning sickness can sure take the fun out of it. To help ease their symptoms so they can feel better throughout their pregnancy, we offer this informative blog by <a title="Lauren Adler, MD, FAAP" href="http://www.pediatricswestchester.com/lauren-adler-md-faap-westchester-health-pediatrics/%20" target="_blank" rel="noopener">Lauren Adler, MD, FAAP</a>, a pediatrician with our <a title="Westchester Health Pediatrics " href="http://www.pediatricswestchester.com/" target="_blank" rel="noopener">Westchester Health Pediatrics</a> group (excerpted below). There is also <a href="https://www.pediatricswestchester.com/expecting/" target="_blank" rel="noopener">helpful information and advice for expecting parents</a> on the WHP website which you can access <a href="https://www.pediatricswestchester.com/expecting/" target="_blank" rel="noopener">here</a>. <span id="more-2856"></span></p>
<h3>Here&#8217;s how to prevent, or at least minimize, the symptoms of morning sickness</h3>
<ol>
<li>Eat small, frequent meals and snacks throughout the day so your stomach is never empty.</li>
<li>Eat slowly.</li>
<li>Keep simple snacks, such as crackers, by your bed.</li>
<li>Avoid lying down after eating (especially on your left side).</li>
<li>Stay hydrated.</li>
<li>Eat more protein and cut out fatty foods.</li>
<li>Avoid smells and foods that make you feel nauseated.</li>
<li>Get lots of rest.</li>
<li>Get fresh air regularly.</li>
<li>Try aromatherapy.</li>
<li>Raise your upper body in bed by putting a pillow under the mattress.</li>
<li>Avoid late night meals.</li>
<li>Give up alcohol and smoking.</li>
<li>Consider anti-nausea medication.</li>
</ol>
<h3>What exactly causes morning sickness?</h3>
<div id="attachment_2668" style="max-width: 172px" class="wp-caption alignright"><a href="https://www.westchesterhealth.com/blog/wha-media/uploads/2018/05/Lauren-Adler.jpg"><img class="wp-image-2668" src="https://www.westchesterhealth.com/blog/wha-media/uploads/2018/05/Lauren-Adler.jpg" alt="" width="162" height="162" srcset="https://www.westchesterhealth.com/blog/wha-media/uploads/2018/05/Lauren-Adler.jpg 200w, https://www.westchesterhealth.com/blog/wha-media/uploads/2018/05/Lauren-Adler-150x150.jpg 150w" sizes="(max-width: 162px) 100vw, 162px" /></a><p class="wp-caption-text">Lauren Adler, MD, FAAP</p></div>
<p>Up to 85% of pregnant women suffer from morning sickness at some point in their pregnancy, usually kicking in around the 4th week and continuing until around the 12th week. It often strikes first thing in the morning but it’s not unusual to experience it at any time of the day or night.</p>
<p>We don&#8217;t really know what causes morning sickness but researchers think that it’s most likely a combination of causes, including:</p>
<ul>
<li>Human chorionic gonadotropin (hCG), a hormone that rises rapidly during the early stages of pregnancy</li>
<li>Estrogen, a female hormone which also rises rapidly in early pregnancy</li>
<li>An enhanced sense of smell and sensitivity to odors (possibly resulting from higher levels of estrogen)</li>
<li>A sensitive stomach</li>
<li>Stress, worry</li>
</ul>
<h3>Important warning</h3>
<p><strong>NOTE: If you have severe, persistent nausea and vomiting and are unable to take in fluids</strong> (which puts you at risk of dehydration), see your doctor right away, as this may be a condition called “hyperemesis gravidarum” (H.G.). H.G. is characterized by severe nausea, vomiting, weight loss and an imbalance of electrolytes. Mild cases are treated with dietary changes, rest and antacids, but more severe cases often require an inpatient stay in the hospital so that you can receive intravenous (IV) fluids and nutrition.</p>
<h3>Some articles that you might find of interest:</h3>
<ul>
<li><a href="https://www.kidspot.com.au/birth/pregnancy/signs-and-symptoms/early-pregnancy-symptom-morning-sickness/news-story/a0e7e8c1073afbbc1fddd73f74566874" target="_blank" rel="noopener">Early pregnancy symptoms</a></li>
<li><a href="https://www.medicinenet.com/morning_sickness_symptoms_and_signs/symptoms.htm" target="_blank" rel="noopener">Morning sickness: signs and symptoms</a></li>
<li><a href="https://www.medicalnewstoday.com/articles/179633.php" target="_blank" rel="noopener">What is morning sickness and how can I treat it</a></li>
</ul>
<h3>Having a hard time with morning sickness? Come see us.</h3>
<p>If you’re experiencing morning sickness and want some relief, please come in and see one of our <a href="http://www.westchesterhealth.com/" target="_blank" rel="noopener">Westchester Health</a> pediatricians or a <a href="https://www.westchesterhealth.com/obstetrics" target="_blank" rel="noopener">Westchester Health OB/GYN</a>. The sooner we can evaluate and start treating your symptoms, the sooner you can start feeling better and enjoying your pregnancy. <em>Whenever, wherever you need us, we’re here for you.</em></p>
<p><a href="http://www.westchesterhealth.com/CONTACT_US" target="_blank" rel="noopener"><img class="aligncenter size-full wp-image-1244" src="https://www.westchesterhealth.com/blog/wha-media/uploads/2016/08/Appointment-CTA.png" alt="Appointment CTA" width="296" height="51" /></a></p>
<p><strong>To read Dr. Adler&#8217;s blog in full, click <a href="https://www.pediatricswestchester.com/14-best-ways-to-counteract-morning-sickness/" target="_blank" rel="noopener">here</a>.</strong></p>Wed, 09 Jan 2019 09:50:49 +0200Westchester Health Blog: Newborn Hospital Visits: 8 Things You Can Expecthttps://www.westchesterhealth.com/blog/newborn-hospital-visits-8-things-you-can-expect/
<p>For our patients who have just had a baby, we at <a href="http://www.westchesterhealth.com/" target="_blank" rel="noopener">Westchester Health</a> want you to know that we will do everything we can to ensure that your precious little one is healthy, getting enough to eat and developing properly. Even before you leave the hospital, we’re here for you every step of the way. <span id="more-2846"></span></p>
<p>In addition to checking your baby’s vital signs, weight and progress, we will give you guidance and some preliminary education on how best to take care of your newborn. So you know what to expect from this first hospital visit, we offer this blog by <a title="Lauren Adler, MD, FAAP" href="http://www.pediatricswestchester.com/lauren-adler-md-faap-westchester-health-pediatrics/%20" target="_blank" rel="noopener">Lauren Adler, MD, FAAP</a>, a pediatrician with our <a title="Westchester Health Pediatrics " href="http://www.pediatricswestchester.com/" target="_blank" rel="noopener">Westchester Health Pediatrics</a> group (excerpted below). There is also of helpful <a href="http://www.pediatricswestchester.com/new-parents/" target="_blank" rel="noopener">information and advice for new parents</a> on the WHP website which you can access <a href="http://www.pediatricswestchester.com/new-parents/" target="_blank" rel="noopener">here</a>.</p>
<div id="attachment_2668" style="max-width: 138px" class="wp-caption alignright"><a href="https://www.westchesterhealth.com/blog/wha-media/uploads/2018/05/Lauren-Adler.jpg"><img class="wp-image-2668" src="https://www.westchesterhealth.com/blog/wha-media/uploads/2018/05/Lauren-Adler.jpg" alt="" width="128" height="128" srcset="https://www.westchesterhealth.com/blog/wha-media/uploads/2018/05/Lauren-Adler.jpg 200w, https://www.westchesterhealth.com/blog/wha-media/uploads/2018/05/Lauren-Adler-150x150.jpg 150w" sizes="(max-width: 128px) 100vw, 128px" /></a><p class="wp-caption-text">Lauren Adler, MD, FAAP</p></div>
<h3>8 tests and evaluations we perform while your newborn is in the hospital</h3>
<p>At <a href="http://www.westchesterhealth.com/" target="_blank" rel="noopener">Westchester Health</a>, it’s very important to us to make sure your baby’s first few days are healthy ones. That’s why we check your baby’s progress every day you’re in the hospital—typically 2 days for a vaginal birth, 3 days for a Caesarean section.To ensure that your newborn is healthy and progressing well, we perform the following actions while you and your baby are in the hospital before discharge:</p>
<ol>
<li><strong>We visit you and your baby every day you’re in the hospital</strong></li>
</ol>
<p>We want to make sure your baby’s first few days are healthy ones so we check his/her progress every day you’re in the hospital—typically 2 days for a vaginal birth, 3 days for a Caesarean section.</p>
<ol start="2">
<li><strong>We check your baby’s color, weight, length, temperature, breathing (lungs), heart rate and activity</strong></li>
</ol>
<p>An average full-term baby should weigh 6-9 pounds and measure 18-21 inches long. If we feel your baby is losing too much weight, we’ll monitor how much and how often you’re feeding your newborn to ensure he/she regains the weight properly.</p>
<ol start="3">
<li><strong>We check your baby’s hearing</strong></li>
</ol>
<p>There are two different tests we use to evaluate your baby’s hearing: otoacoustic emission (OAE) and auditory brainstem response (ABR). The OAE test involves placing a mini earphone and microphone in your baby’s ear to measure sound reflection in the ear canal. For the ABR test, electrodes are placed on your baby’s head to measure how the hearing nerve responds to sound. The purpose of both tests is to detect hearing abnormalities.</p>
<ol start="4">
<li><strong>We measure the shape and circumference of your baby’s head</strong></li>
</ol>
<p>Because of pressure during a vaginal birth, your baby’s head may be temporarily misshapen but don’t worry: normal head shape usually returns by the end of the first week. (Babies delivered by Caesarean section usually don’t have as much head flattening.) We also check the circumference and soft spots on your baby’s head (fontanels), which typically disappear within 12-18 months when the skull bones fuse together.</p>
<ol start="5">
<li><strong>We evaluate your baby’s food intake, whether breastfeeding or formula feeding</strong></li>
</ol>
<p>Whether feeding by breast or bottle, monitoring the number of wet and poopy diapers that your baby is producing (optimal: 4-5 per day) is also a good way to tell if he/she is getting enough nutrition. For many moms, breastfeeding is a real challenge and very emotional. To help, we have two certified lactation specialists who work with you and your baby so that breastfeeding becomes a positive, successful experience for both of you. For more information about our support of breastfeeding, click<a href="https://www.pediatricswestchester.com/breastfeeding-support/" target="_blank" rel="noopener"> here</a>.</p>
<ol start="6">
<li><strong>We make an appointment for your first office visit</strong></li>
</ol>
<p>To continue to make sure your baby is progressing well and thriving, we make an appointment for your newborn’s first well-baby visit in our office, which should take place within 48 hours of your being discharged from the hospital.</p>
<ol start="7">
<li><strong>We teach you how to recognize signs that your baby may be sick</strong></li>
</ol>
<p>Generally, if your newborn is active, feeding well and can be comforted when crying, small differences in activity level or crying are normal. But if your baby seems fussy, is crying more than usual, has low energy, is noticeably irritable and/or seems hot and feverish, call or come in to see us right away. It might be nothing, but then again, it might be the beginning of something serious. For more tips and guidelines, <a href="https://www.pediatricswestchester.com/how-to-know-when-your-baby-is-sick/" target="_blank" rel="noopener">click here</a> for a blog on the subject.</p>
<ol start="8">
<li><strong>We answer all your questions and address your concerns</strong></li>
</ol>
<p>As well as monitoring your baby’s vital signs and progress, the newborn hospital visit is also a great time for us to address any questions or concerns you may have. Now and throughout the years to come, we’re your committed partners in raising a healthy, thriving baby.</p>
<h3>Important advice on best ways to take care of your baby</h3>
<p>At <a href="http://www.westchesterhealth.com/" target="_blank" rel="noopener">Westchester Health</a>, we’ve helped raise hundreds of babies and we can’t wait to help you with yours. For helpful tips and advice on the ins and outs of caring for your newborn, please refer to the <a href="https://www.pediatricswestchester.com/new-parents/" target="_blank" rel="noopener">New Parents page</a> on our WHP website.</p>
<p><strong>Some helpful articles you might like:</strong></p>
<ul>
<li><a href="https://www.thebump.com/a/new-baby-doctor-visit-checklist" target="_blank" rel="noopener">Baby&#8217;s Checkup Schedule</a></li>
<li><a href="https://www.pampers.co.uk/newborn-baby/development/article/well-baby-visits-visiting-your-doctor-and-what-to-expect" target="_blank" rel="noopener">Visiting your doctor and what to expect</a></li>
<li><a href="https://kidshealth.org/en/parents/mednewborn.html" target="_blank" rel="noopener">Medical care and your newborn</a></li>
</ul>
<p><strong>Want more information about caring for your newborn? Come see us. </strong></p>
<p>Are you burping your baby properly? Is he/she getting enough to eat? Is that a fever or do you need to remove the sweater? If you have any questions relating to your baby’s well-being (and we really mean <em>any questions</em>), please come in and see one of our <a href="http://www.westchesterhealth.com/" target="_blank" rel="noopener">Westchester Health</a> pediatricians. We have lots of advice and guidance to offer you, and if something is wrong, together we’ll choose the best course of action going forward. <em>Whenever, wherever you need us, we’re here for you.</em></p>
<p><a href="http://www.westchesterhealth.com/CONTACT_US" target="_blank" rel="noopener"><img class="aligncenter size-full wp-image-1244" src="https://www.westchesterhealth.com/blog/wha-media/uploads/2016/08/Appointment-CTA.png" alt="Appointment CTA" width="296" height="51" /></a></p>
<p><strong>To read Dr. Adler&#8217;s blog in full, click <a href="https://www.pediatricswestchester.com/8-things-you-can-expect-from-our-newborn-hospital-visits/" target="_blank" rel="noopener">here</a>.</strong></p>Wed, 02 Jan 2019 09:19:30 +0200Westchester Health Blog: What You Need To Know About Dangerous Food Additives That Can Harm Your Kidshttps://www.westchesterhealth.com/blog/what-you-need-to-know-about-dangerous-food-additives-that-can-harm-your-kids/
<p>At <a href="http://www.westchesterhealth.com/" target="_blank" rel="noopener">Westchester Health</a>, we were shocked to recently learn that the United States allows the use of more than 10,000 additives in the everyday foods we eat. Approximately 1,000 of these additives are legally permitted under a “Generally Recognized as Safe” designation process that doesn’t require U.S. Food and Drug Administration (FDA) approval. A very timely blog by <a title="Lauren Adler, MD, FAAP" href="http://www.pediatricswestchester.com/lauren-adler-md-faap-westchester-health-pediatrics/%20" target="_blank" rel="noopener">Lauren Adler, MD, FAAP</a>, a pediatrician with our <a title="Westchester Health Pediatrics " href="http://www.pediatricswestchester.com/" target="_blank" rel="noopener">Westchester Health Pediatrics</a> group (excerpted below) explains the details. There is also <a href="https://www.pediatricswestchester.com/parents/" target="_blank" rel="noopener">helpful information and advice for parents</a> on a wide range of topics on the WHP website which you can access <a href="https://www.pediatricswestchester.com/parents/" target="_blank" rel="noopener">here</a>.</p>
<p><span id="more-2837"></span></p>
<h3>Inadequate FDA regulation of food additives</h3>
<div id="attachment_2668" style="max-width: 134px" class="wp-caption alignright"><a href="https://www.westchesterhealth.com/blog/wha-media/uploads/2018/05/Lauren-Adler.jpg"><img class="wp-image-2668" src="https://www.westchesterhealth.com/blog/wha-media/uploads/2018/05/Lauren-Adler.jpg" alt="" width="124" height="124" srcset="https://www.westchesterhealth.com/blog/wha-media/uploads/2018/05/Lauren-Adler.jpg 200w, https://www.westchesterhealth.com/blog/wha-media/uploads/2018/05/Lauren-Adler-150x150.jpg 150w" sizes="(max-width: 124px) 100vw, 124px" /></a><p class="wp-caption-text">Lauren Adler, MD, FAAP</p></div>
<p>A <a href="http://pediatrics.aappublications.org/content/early/2018/07/19/peds.2018-1408" target="_blank" rel="noopener">policy statement</a> about the negative effects of food additives on children’s health was recently released by the <a href="https://www.aap.org/en-us/Pages/Default.aspx" target="_blank" rel="noopener">AAP</a> (American Academy of Pediatrics), reviewing the harmful effects of chemicals that are deliberately added to our food (such as colorings, flavoring and chemicals), as well as substances used for processing and packaging (such as plastics, glues, dyes, paper, cardboard and different types of coatings).</p>
<p>As physicians and parents, we are most dismayed by the following passage from the <a href="https://www.aap.org/en-us/about-the-aap/aap-press-room/pages/AAP-Says-Some-Common-Food-Additives-May-Pose-Health-Risks-to-Children.aspx" target="_blank" rel="noopener">press release</a> about the AAP’s policy statement:</p>
<p style="padding-left: 30px;"><strong>“An increasing number of studies suggest some food additives can interfere with a child’s hormones, growth, and development, according to the policy statement and accompanying technical</strong><strong> report. Some may also increase the risk of childhood obesity, rates of which have tripled since the 1970s.”</strong></p>
<p>Due to several problems with the <a href="https://www.fda.gov/regulatoryinformation/lawsenforcedbyfda/federalfooddrugandcosmeticactfdcact/default.htm" target="_blank" rel="noopener">Federal Food, Drug and Cosmetic Act</a>, the regulation of food additives is often inadequate, states the report. According to Dr. Leonardo Trasande, MD, MPP, FAAP, an AAP Council on Environmental Health member and lead author of the policy statement, “There are critical weaknesses in the current food additives regulatory process, which doesn’t do enough to ensure all chemicals added to foods are safe enough to be part of a family’s diet.” He adds, “As pediatricians, we’re especially concerned about significant gaps in data about the health effects of many of these chemicals on infants and children.”</p>
<h3>Added chemicals in food can harm a child’s growth and development and possibly cause obesity</h3>
<p>According to the AAP, children are more sensitive to exposure to these chemicals because they eat and drink more than adults relative to body weight. Most importantly, though, the damaging effects of food addictive are greater for children because they are still growing and developing.</p>
<p>Here are the most harmful additives based on research evidence <a href="http://pediatrics.aappublications.org/content/early/2018/07/19/peds.2018-1408" target="_blank" rel="noopener">cited in the AAP report</a>:</p>
<ul>
<li><strong>Bisphenols</strong> (such as BPA), used to harden plastic containers and line metal cans, can mimic estrogen in the body and potentially change the timing of puberty, decrease fertility, increase body fat and affect the nervous and immune systems. BPA is now banned in baby bottles and sippy cups.</li>
<li><strong>Phthalates</strong>, which makes plastic and vinyl tubes used in industrial food production flexible, may affect male genital development, increase childhood obesity and contribute to cardiovascular disease. In 2017, the <a href="https://www.cpsc.gov/" target="_blank" rel="noopener">Consumer Product Safety Commission</a> banned the use of some phthalates in child-care products such as teething rings.</li>
<li><strong>Perfluoroalkyl chemicals</strong> (PFCs), used in grease-proof paper and cardboard food packaging, may reduce immunity, birth weight and fertility. Research also shows PFCs may affect the thyroid system which is integral to metabolism, digestion, muscle control, brain development and bone strength.</li>
<li><strong>Perchlorate</strong>, added to some dry food packaging to control static electricity, is known to disrupt thyroid function, early life brain development <span style="color: inherit; font-size: inherit;">and </span>growth.</li>
<li><strong>Artificial food colors</strong>, common in children’s food products, may be associated with elevated attention-deficit/hyperactivity disorder (ADHD) symptoms. Studies cited in the report found that a significant number of children who eliminated synthetic food colorings from their diets showed decreased ADHD symptoms.</li>
<li><strong>Nitrates/</strong>nitrites, used to preserve food and enhance color (especially in cured and processed meats) can interfere with thyroid hormone production and the blood&#8217;s ability to deliver oxygen to the body. Nitrates and nitrites also have been linked with gastrointestinal and nervous system cancers.</li>
</ul>
<h3>We at Westchester Health join the AAP in recommending 9 simple steps you can take to limit your child&#8217;s exposure to chemical food additives:</h3>
<ol>
<li><strong>Eat fresh fruits, vegetables, meat </strong>and<strong> fish whenever possible.</strong> If you cannot obtain fresh items, frozen versions are the next best choice.</li>
<li><strong>Avoid canned foods</strong> since bisphenols are used in the lining of metal cans in order to prevent corrosion.</li>
<li><strong>Avoid processed meats which contain nitrites.</strong> This is especially important during pregnancy.</li>
<li><strong>Avoid microwaving food in plastic.</strong> This includes infant formula and expressed breast milk. Heating the plastic can cause chemicals to leech into the food or liquid. Also, microwaving your baby’s milk can cause burns in his/her mouth due to “hot spots” in the milk. Instead, invest in glass or ceramic microwaveable containers.</li>
<li><strong>Avoid placing plastics in the dishwasher,</strong> including baby bottles.</li>
<li><strong>When possible, store food in glass or stainless steel containers rather than plastic.</strong> This is not only good for your health but good for the environment too.</li>
<li><strong>Check the bottom of your plastic containers for the recycling code.</strong> Avoid plastics with recycling codes 3 (phthalates), 6 (styrene) and 7 (bisphenols) unless they are labeled “biobased” or “greenware.”</li>
<li><strong>Wash all fruits and vegetables thoroughly before eating</strong>, especially those that cannot be peeled.</li>
<li><strong>Wash hands thoroughly before and after touching food and before eating.</strong> This will decrease exposure to chemicals on your hands as well as decrease your risk of infection from germs on your hands.</li>
</ol>
<h3>To learn more, read these important articles:</h3>
<ul>
<li><a href="https://www.aap.org/en-us/about-the-aap/aap-press-room/pages/AAP-Says-Some-Common-Food-Additives-May-Pose-Health-Risks-to-Children.aspx" target="_blank" rel="noopener">American Academy of Pediatrics Says Some Common Food Additives May Pose Health Risks to Children</a> (AAP press release)</li>
<li><a href="http://pediatrics.aappublications.org/content/early/2018/07/19/peds.2018-1408" target="_blank" rel="noopener">Food Additives and Child Health</a> (AAP policy statement)</li>
<li><a href="https://www.nytimes.com/2018/07/23/well/chemicals-food-children-health.html" target="_blank" rel="noopener">Chemicals in Food May Harm Children, Pediatricians’ Group Says</a> <em>(The New York Times)</em></li>
</ul>
<h3>Worried about chemical additives in your food? Come see us.</h3>
<p>If you’re concerned about the possible harmful effects of additives in your food, whether your family is being exposed to them, and how to reduce or eliminate this danger to your health, please come in and see one of our <a href="http://www.westchesterhealth.com/" target="_blank" rel="noopener">Westchester Health</a> pediatricians. We will listen to your concerns and answer all your questions, or refer you to someone who can so you can have peace of mind. <em>Whenever, wherever you need us, we’re here for you.</em></p>
<p><a href="http://www.westchesterhealth.com/CONTACT_US" target="_blank" rel="noopener"><img class="aligncenter size-full wp-image-1244" src="https://www.westchesterhealth.com/blog/wha-media/uploads/2016/08/Appointment-CTA.png" alt="Appointment CTA" width="296" height="51" /></a></p>
<p><strong>To read Dr. Adler&#8217;s blog in full, click <a href="https://www.pediatricswestchester.com/how-to-avoid-dangerous-food-additives-that-can-harm-your-kids/" target="_blank" rel="noopener">here</a>.</strong></p>Wed, 26 Dec 2018 09:25:03 +0200Westchester Health Blog: Does Your Teen Vape? What You Should Know About The Serious Dangers of JUUL and PHIXhttps://www.westchesterhealth.com/blog/does-your-teen-vape-what-you-should-know-about-the-serious-dangers-of-juul-and-phix/
<p>If you&#8217;re the parent of a teenager, you’ve maybe seen or heard about two new nicotine products that are exploding in popularity with the preteen and teenage age groups that greatly concern us at <a href="http://www.westchesterhealth.com/" target="_blank" rel="noopener">Westchester Health</a>: JUUL and PHIX. These products are very dangerous for your teen&#8217;s health and well-being. To learn more, we recommend a very informative blog (excerpted here) by <a title="Mason Gomberg, MD" href="http://www.pediatricswestchester.com/mason-gomberg-md-westchester-health-pediatrics/" target="_blank" rel="noopener">Mason Gomberg, MD</a>, a pediatrician with our <a title="Westchester Health Pediatrics " href="http://www.pediatricswestchester.com/" target="_blank" rel="noopener">Westchester Health Pediatrics</a> group. There is also helpful <a href="https://www.pediatricswestchester.com/teens/" target="_blank" rel="noopener">information and advice specifically for teens</a> on the WHP website which you can access <a href="https://www.pediatricswestchester.com/teens/" target="_blank" rel="noopener">here</a>.<span id="more-2828"></span></p>
<h3>Popular with teens, highly damaging to their health</h3>
<div id="attachment_51" style="max-width: 175px" class="wp-caption alignright"><a href="https://www.westchesterhealth.com/blog/wha-media/uploads/2015/08/Mason-Gomberg.jpg"><img class="wp-image-51" src="https://www.westchesterhealth.com/blog/wha-media/uploads/2015/08/Mason-Gomberg.jpg" alt="" width="165" height="165" srcset="https://www.westchesterhealth.com/blog/wha-media/uploads/2015/08/Mason-Gomberg.jpg 200w, https://www.westchesterhealth.com/blog/wha-media/uploads/2015/08/Mason-Gomberg-150x150.jpg 150w" sizes="(max-width: 165px) 100vw, 165px" /></a><p class="wp-caption-text">Mason Gomberg, MD</p></div>
<p>Both JUUL and PHIX contain nicotine liquid which is vaporized and inhaled. The nicotine is replenished through nicotine &#8220;pods&#8221; and the devices can be recharged through a USB port. These products are easy to obtain and can be purchased through various stores or online.</p>
<p>Why are they dangerous? Nicotine is delivered via these devices into the lungs, which is very damaging to developing brains. They also contain other inert ingredients that are being inhaled that may include cancer-causing agents, respiratory irritants and heavy metals which are harmful to the body.</p>
<p>Nicotine exposure in developing brains can lead to inattention, reduction of impulse control, mood disorders and cognitive deficits. At <a href="http://www.westchesterhealth.com/" target="_blank" rel="noopener">Westchester Health</a>, we believe that we all need to take a proactive approach and discuss the dangers of these products with our children. Hopefully, we can persuade them not to start vaping, or if they already do, help them stop.</p>
<h3>What exactly is in an e-cigarette?</h3>
<ol>
<li><strong> Nicotine.</strong> No matter what tobacco and e-cigarette manufacturers might report, nicotine is a very harmful, very dangerous drug. It affects the brain, nervous system and heart. The larger the dose of nicotine, the more a person’s blood pressure and heart rate go up, which can cause an abnormal heart rate (arrhythmia). In rare cases, especially when large doses of nicotine are involved, arrhythmias can cause heart failure and death.</li>
<li><strong> Propylene glycol</strong>, the chemical that allows the nicotine to be vaped or inhaled, can cause lung and eye irritation. It is not clear what long-term effects propylene glycol has on the lungs.</li>
<li><strong> Aluminum </strong>can cause pneumonia.<strong> </strong></li>
<li><strong> Cadmium</strong>, which is also in batteries, causes nausea, vomiting and diarrhea.<strong> </strong></li>
<li><strong> Silver </strong>causes breathing problems, lung and throat irritation, and stomach pain.<strong> </strong></li>
<li><strong> Lead </strong>when inhaled can result in nerve damage and digestive issues.</li>
<li><strong> Diacetyl</strong>, also found in butter-flavored microwave popcorn, when inhaled can cause scarring of the lungs. “Popcorn lung” is the scarring of the tiny air sacs in the lungs and will result in wheezing, coughing and/or shortness of breath.</li>
<li><strong> Benzoic acid </strong>is a naturally occurring acid found in the tobacco plant. When inhaled, it can cause irritation to the nose, throat and lungs, which like diacetyl, may cause coughing, wheezing and/or shortness of breath.</li>
</ol>
<h3>To learn more</h3>
<p>For more information on the dangers of vaping and e-cigarettes, you might find these articles helpful:</p>
<ul>
<li><a href="https://www.cbsnews.com/news/vaping-health-effects-rising-use-among-teens/" target="_blank" rel="noopener">Concerns over health effects of vaping &#8211; and rising use among teens</a></li>
<li><a href="https://www.webmd.com/smoking-cessation/news/20180305/kids-who-vape-face-toxin-dangers-study-finds#1" target="_blank" rel="noopener">Kids Who Vape Face Toxin Dangers, Study Finds</a></li>
<li><a href="https://www.rehabcenter.net/dangers-of-vaping-e-cigs/" target="_blank" rel="noopener">The Dangers of Vaping &amp; E-Cigs</a></li>
<li><a href="https://www.sciencenewsforstudents.org/article/concerns-explode-over-new-health-risks-vaping" target="_blank" rel="noopener">Concerns explode over new health risks of vaping</a></li>
<li><a href="https://www.theauthenticgay.com/10-vaping-health-risks/" target="_blank" rel="noopener">10 SHOCKING HEALTH RISKS OF VAPING AND E-CIGARETTES</a></li>
<li><a href="http://vaping360.com/real-dangers-health-risks-vaping/" target="_blank" rel="noopener">The Real Dangers and Health Risks of Vaping</a></li>
<li><a href="https://www.buzzfeed.com/carolinekee/juul-ecigarette-vape-health-effects?utm_term=.uap9LO7Ze7#.ajjo048JN8" target="_blank" rel="noopener">Everything You Need To Know About The JUUL, Including The Health Effects</a></li>
<li><a href="http://www.businessinsider.com/juul-e-cig-vaping-health-effects-2018-3" target="_blank" rel="noopener">An e-cigarette with twice the nicotine of comparable devices is taking over high schools — and scientists are sounding the alarm</a></li>
</ul>
<h3>Important information and resources:</h3>
<ul>
<li><a href="https://teen.smokefree.gov/800quitNow.aspx" target="_blank" rel="noopener">1-800-QUIT-NOW</a></li>
<li><a href="http://www.lung.org/stop-smoking/?referrer=https://www.google.com/" target="_blank" rel="noopener">Stop Smoking/American Lung Association</a></li>
<li><a href="https://www.smokefree.gov/tools-tips/speak-expert" target="_blank" rel="noopener">Smokefree.gov</a></li>
<li><a href="https://www.cdc.gov/tobacco/data_statistics/fact_sheets/secondhand_smoke/health_effects/" target="_blank" rel="noopener">Health Effects of Secondhand Smoke</a> (CDC)</li>
<li><a href="http://no-smoke.org/document.php?id=212" target="_blank" rel="noopener">Health Effects Of Secondhand Smoke On Children</a></li>
</ul>
<h3>Concerned that your teen is smoking or vaping or might start soon? Come see us.</h3>
<p>If you’re worried that your child is smoking or vaping, either tobacco cigarettes or e-cigarettes, or might start, please come in and see one of our <a href="http://www.westchesterhealth.com/" target="_blank" rel="noopener">Westchester Health</a> pediatricians. Together, we’ll talk it out with you and your child, and together figure out the best way forward. If needed, we’ll also help your child find the right support network to stop smoking. <em>Whenever, wherever you need us, we’re here for you.</em></p>
<p><a href="http://www.westchesterhealth.com/CONTACT_US" target="_blank" rel="noopener"><img class="aligncenter size-full wp-image-1244" src="https://www.westchesterhealth.com/blog/wha-media/uploads/2016/08/Appointment-CTA.png" alt="Appointment CTA" width="296" height="51" /></a></p>
<p><strong>To read Dr. Gomberg&#8217;s blog in full, click <a href="https://www.pediatricswestchester.com/does-your-child-juul-jewel-or-phix-fix-heres-why-you-should-worry/" target="_blank" rel="noopener">here</a>.</strong></p>Wed, 19 Dec 2018 09:24:51 +0200